Tri Lakes Pulmonology
LBN: Branson Pulmonology Llc
Tri Lakes Pulmonology is an health care organization with primary practice located at 545 Branson Landing Blvd Ste 301 , Branson MO 65616-4055. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is the primary health care specialty.
Branson Pulmonology Llc can be contacted via phone (417) 230-8070, or through Bakry, Mohamed via phone (417) 230-8070.
Contact Information
Primary practice address
545 Branson Landing Blvd Ste 301
Branson MO 65616-4055
Phone: (417) 230-8070
Fax: (417) 336-1280
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 2005015440 | Missouri |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 2005015440 | Missouri |
Profile Details
| NPI number | 1023202736 |
|---|---|
| LBN Legal business name | Branson Pulmonology Llc |
| DBA Doing business as | Tri Lakes Pulmonology |
| Authorized official | Bakry, Mohamed Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 5th, 2007 |
| Last updated | May 29th, 2008 - about 17 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023202736 | NPPES |
| Missouri | MEDICAID | 507601300 | |
| Missouri | Other | 000015456 |
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